Adenoid hypertrophy detection inventory in children for primary care physicians and pediatricians

Basit Öğe Kaydı
dc.authoridKURT, FATIH/0000-0003-1975-6492;
dc.contributor.authorKurt, Fatih
dc.contributor.authorBelada, Abdullah
dc.contributor.authorOz, Busra
dc.contributor.authorCangur, Sengul
dc.contributor.authorKaya, Abdulkadir
dc.date.accessioned2025-10-11T20:48:47Z
dc.date.available2025-10-11T20:48:47Z
dc.date.issued2025
dc.departmentDüzce Üniversitesien_US
dc.description.abstractObjective Adenoid tissue consists of clusters of lymphoid tissue within the nasopharynx and can cause symptoms due to obstruction when hypertrophied. The gold standard for diagnosis is endoscopic nasopharyngoscopy, but it is not always readily available. This study aims to develop an inventory that primary care physicians and pediatricians can use to predict the degree of adenoid hypertrophy clinically, facilitating the planning of patient follow-up and treatment. Study designA diagnostic test study. Settingstertiary referral hospital. Methods The study involved 123 cases, with 82 in the patient group and 41 in the control group. Evaluation encompassed demographic characteristics, history, and physical examination findings. Additionally, a child psychiatrist assessed cases neurocognitively, behaviorally, and psychologically. Finally, cases underwent endoscopic nasopharyngoscopy by an ENT specialist, recording adenoid sizes and choanae narrowing. Multinomial Logistic Regression (MLR) analysis determined the most suitable model for the clinical inventory. Results Snoring, restless sleep, noisy breathing, recurrent throat infections, and recurrent rhinosinusitis constitute the items of the clinical inventory. The average score of relevant items categorized patients into absent and mild, moderate, and severe groups. The area under the ROC curve for average scores of the inventory was 0.67, significantly surpassing the probability of random assignment (0.17). The inventory's accuracy rate was 70%. Conclusion This user-friendly and highly accurate inventory aids in predicting obstruction degree in patients. Primary care physicians and pediatricians can effectively manage follow-up and treatment, referring cases requiring surgery to an ENT specialist based on the inventory results.en_US
dc.description.sponsorshipScientific and Technological Research Council of Turkiye (TUBITAK)en_US
dc.description.sponsorshipOpen access funding provided by the Scientific and Technological Research Council of Turkiye (TUBITAK).en_US
dc.identifier.doi10.1007/s00405-025-09350-8
dc.identifier.endpage2453en_US
dc.identifier.issn0937-4477
dc.identifier.issn1434-4726
dc.identifier.issue5en_US
dc.identifier.pmid40175815en_US
dc.identifier.scopus2-s2.0-105002067055en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage2447en_US
dc.identifier.urihttps://doi.org/10.1007/s00405-025-09350-8
dc.identifier.urihttps://hdl.handle.net/20.500.12684/22099
dc.identifier.volume282en_US
dc.identifier.wosWOS:001457905200001en_US
dc.identifier.wosqualityQ1en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherSpringeren_US
dc.relation.ispartofEuropean Archives of Oto-Rhino-Laryngologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.snmzKA_WOS_20250911
dc.subjectAdenoid hypertrophyen_US
dc.subjectInventoryen_US
dc.subjectNasopharyngoscopyen_US
dc.subjectSnoringen_US
dc.titleAdenoid hypertrophy detection inventory in children for primary care physicians and pediatriciansen_US
dc.typeArticleen_US

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